Facilitating Access to Specialty Treatment

Part of paid clinical trials in Philadelphia, Pennsylvania.

Sponsor
Children's Hospital of Philadelphia
Study ID
NCT05741411
Status
Recruiting

Conditions

  • Concussion, Intermediate
  • Concussion, Mild
  • Concussion, Severe
  • Mild Traumatic Brain Injury

Eligibility Criteria

Sex
ALL
Age
13 Years - 18 Years
Healthy Volunteers
Not accepted

Interventions

  • RPM-assisted specialist access — OTHER
    Participants will be prompted to report current symptoms and activity once a day via remote patient monitoring chat technology for up to 28 days following injury. Patients with either escalating or plateauing symptoms will be flagged, with an electronic alert sent via the electronic health record to a nurse navigator. The nurse navigator will have access to the symptom data and facilitate scheduling an in person or telehealth specialist visit as indicated. Symptoms will continue to be monitored through the 28-day acute study period with additional clinical visits occurring according to clinical need.

Study Details

The goal of this hybrid implementation-effectiveness study is to evaluate the effectiveness (hastened recovery times) and feasibility (fidelity in connecting to concussion specialty care) of a novel mobile health intervention, designed to reduce disparities in access to specialty care through the use of remote patient monitoring (RPM) to facilitate care hand-off from the emergency department (ED) to concussion specialty care. Participants will report their symptoms and activity once daily through RPM chat technology that is linked to their electronic health record and prompts referral to specialty care.

Key Dates

Start date
Mar 11, 2024
Status verified
May 2026
Primary completion
Mar 31, 2027
Completion
Aug 1, 2027

Study Design

Enrollment
210 participants (estimated)
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER

Arms

  • Experimental: Concussed youth at risk for prolonged symptoms

Primary Outcome Measure

Incidence of Persisting Post-Concussion Symptoms (PPCS, Primary Effectiveness) [ Time Frame: 28 days from injury ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Children's Hospital of PhiladelphiaPhiladelphiaPennsylvania19104
Daniel Corwin, MD,MSCE
215-327-2306

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